Manage daily operations of the Utilization Management team, oversee team development, coordinate programs, ensure compliance, and facilitate communication with stakeholders.

Manage daily operations in Utilization Management, oversee programs, coordinate with departments, ensure compliance, and foster team performance. Handle budgeting and staff development.

Manage daily operations for Utilization Management, oversee staff, ensure compliance with regulatory standards, and implement department programs and initiatives.

Manage daily operations of Utilization Management, oversee processes, lead staff, ensure compliance with regulations, and develop programs for member care.

The Manager of Utilization Management oversees operations, ensuring effective program implementation and compliance while managing a team of Health Services Representatives and Clinicians.

Coordinate and submit regulatory documents for commercial health plans, acting as a liaison between PacificSource and state regulators, ensuring accuracy and compliance with deadlines.

The Enterprise Sales Executive identifies and develops new business opportunities in large group health insurance, managing sales pipelines, and proposals while fostering relationships with brokers.

The IT Manager is responsible for managing the strategy, development, and operations of the IT infrastructure across multiple locations, ensuring secure and reliable services, managing a team, and coordinating with vendors and departments for improvement.

The IT Manager oversees IT infrastructure development, operations, security controls, vendor relationships, staff management, and budget development, ensuring alignment with business needs.

Manage IT infrastructure strategy and operations, ensuring secure networks and systems, overseeing vendor relationships and performance metrics, and leading infrastructure teams across multiple locations.

The IT Manager will oversee the strategy, development, and operations of IT infrastructure, manage a team, ensure service reliability, and maintain vendor relations.

The Senior Risk Adjustment Analyst optimizes data submission for risk adjusted populations, collaborates on reporting, and improves processes while mentoring less experienced analysts.

The Senior Risk Adjustment Analyst optimizes data submissions, develops reporting capabilities, collaborates with partners, mentors less experienced analysts, and ensures compliance with regulatory standards.

The Senior Risk Adjustment Analyst supports CMS data submissions, analyzes risk adjustment trends, maintains reporting capabilities and collaborates on process improvements while mentoring junior analysts.

The Senior Risk Adjustment Analyst optimizes risk adjustment data submissions and compliance, collaborates with partners, and mentors team members, impacting healthcare quality and performance.

The Senior Risk Adjustment Analyst optimizes data submission to regulatory entities and collaborates on risk adjustment processes, providing mentorship and overseeing vendor performance. They analyze data trends, develop reports, and ensure compliance with regulatory standards.

The Senior Risk Adjustment Analyst aids in data submissions to regulatory bodies, optimizes data processes, collaborates with teams, and provides mentorship. They analyze trends, validate data integrity, and maintain compliance with regulations.

The Senior Risk Adjustment Analyst manages data submission for regulatory compliance, leads projects, analyzes trends, and mentors team members in risk adjustment processes.

Establish and maintain relationships with healthcare providers, educate on products, resolve issues, and ensure compliance with administrative processes.

The Quality Programs Strategist develops and implements strategies to enhance quality performance and improve member outcomes, focusing on key quality metrics.